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Nebraska rates for HCPCS 92941

Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, any combination of intracoronary stent, atherectomy and angioplasty, including aspiration thrombectomy when performed, single major coronary artery and/or its branches or single bypass graft and/or its subtended branches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$114.55 / $114.55 / $114.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,547.24 / $20,448.87 / $39,554.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,300.00 / $11,300.00 / $11,300.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.23 / $1,107.47 / $9,696.00
Medica
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$6,350.80 / $6,350.80 / $6,350.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,147.51 / $1,399.22 / $1,717.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00